Sofia Vergara On Madonna's Cheeks and Plastic Surgery

Sophia Vergara from Modern Family had some choice words to say about Madonna in a recent interview:

When asked about going under the knife, Vergara said, "L. A. is crazy. The women all look the same now. That thing with the cheeks. Like Madonna." "Who do they think they're fooling? It doesn't make them look young. You end up looking like a freak," Vergara added.

The "Modern Family" actress, however, admitted that she once considered having a breast reduction but put down her plan after her mother Margarita told her, "God is going to punish you if you cut them."

Sophia better watch what she says about Madge. I wouldn't want to be on her bad side. While Madonna's cheeks do, at times, appear a bit overdone (with implants or Sculptra?), overall she probably looks a lot better now than she would without any plastic surgery at all. Let's see how Sophia looks in 15 years... if she's lucky like Maria on Sesame Street.

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Michigan-based Plastic Surgeon

Anthony Youn, M.D.

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Madonna To Undergo $200,000 Worth of Plastic Surgery?

Is the Material Girl planning to transform herself into plastic? According to Showbizspy.com:

“Madonna has been feeling her age since her divorce from Guy Ritchie in 2008,” a source told Britain’s Daily Star newspaper.
“She’s been dating the model Jesus Luz who is a lot younger than her and she wants to keep looking her best...Her friends have recommended things to have done and she’s considering them as a little treat for turning 52 in August... She wants things to look natural with nothing too radical... She’s still working out seven days a week and because she’s so skinny she feels her cleavage has gone. So her friends think she should go up one size and get them lifted...She’s got some spider veins on her legs that have come with age so she’s planning to get those sorted first and then will spend the next year overhauling herself completely.”

So what do you think Madonna can have that would add up to $200,000? Let's fancy a guess:

1. Revision Facelift: $10,000

2. Facial Fat Grafting: $5000

3. Fractional Laser Treatments: $4000

4. Breast implant revision: $10,000

5. Body skin tightening treatments, such as the Cutera Titan: $4000

6. Spider vein treatments: $2000

7. Botox: $500

8. Filler injections like Perlane: $1000

Wow. We're only at $36,000. What else can she possibly consider? Now we get into the weird and completely unnecessary stuff: 9. Endoscopic browlift: $8000. 10. Revision blepharoplasty: $5000. 11. Laser liposuction to sweat glands of the armpits: $5000. 12. Hand plumping injections: $4000. 13. Batwing reduction: $10,000. 14. Mini tummy tuck: $7000. 15. Designer laser vaginoplasty (yes, some docs actually call it that!): $7000? (My wild guess). 16. Fat injections to buttocks: $10,000. 17. Full body laser hair removal: $8000.

All of this only adds up to $100,000. To get to $200,000, I guess we'll have to add some really crazy things like: 18: Rib removal to thin the torso: $20,000. 19. Leg breaking and lengthening to add an inch of height (we get shorter as we age, you know): $30,000. 20. Second Toe Shortening: $10,000. And a few minor ones: 21. Restylane injections to the feet to help with high heels (check out my CBS Early Show clip on this) $2000. 22. Earlobe shortening: $1000. 23. Injections of her own plasma to her face: $4000. and finally the most bizarre: 24. Creation of wings: $33,000+. TOTAL: $200,000.

Photo credit: cityrag.com

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Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Madonna - Chin Implant?

Madonna's recent appearance in Brazil has sparked rumors she may have had a recent chin augmentation. As you can see by the photo her chin does look a bit prominent, and maybe even swollen from recent surgery. Why would she have this procedure done? I never thought her chin was small in the first place!

Chin implants are placed via small incisions either inside the mouth (my preferred technique) or under the chin. When inserted through the mouth there is no visible scar afterwards. I often see people who come in asking for a rhinoplasty to reduce the size of their nose when the real problem is a tiny chin. A small chin can actually make the nose look bigger than it really is. Just a quick lesson on facial harmony...

Photo credit: stuff.co.nz

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Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Madonna and Madamism?

Is Madonna turning into a Madame puppet-face? Cityrag.com has coined (or propagated) the term "Madamism," which is a process some stars undergo as they have too much plastic surgery. They begin to look more and more like Madame the puppet. Other stars who may be undergoing Madamism include Priscilla Presley, Faye Dunaway, Cher, and maybe even Lara Flynn Boyle.

Check out cityrag.com for more details.

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Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

What's Happening to Madonna?

What's the story with Madonna's appearance? She seems to be getting thinner and thinner (check out her arms) yet her cheeks remain full and soft. Can this be due to plastic surgery?

I think it is. There are three ways to effectively add volume to the face. The first is facial fat grafting. This is one of my favorite plastic surgeries to perform because it is minimally invasive and can really return a nice, youthful softness to the face. The second way to add volume to the face is via solid implants. With the exception of a chin implant, I am not a fan of these types of facial implants. Some of them require screws to keep them in place. Due to their hard nature, they also do not achieve the softer look of facial fat grafting, or the third technique: Sculptra injections. I believe Madonna may have had Sculptra injections to her face over the last several years to retain volume and softness. Sculptra is FDA approved for HIV-related facial wasting, but is often used for general cosmetic reasons. I think it is a very effective way to enhance the face.

So why do I think Madonna has had Sculptra and not facial fat grafting? Since it appears the fat in the rest of her body has all but disappeared, I would expect the same to occur in her face. However, even with an extremely thin body, her cheeks remain full. Sculptra-enhanced cheeks should not deflate quite as much as fat-enhanced cheeks.

For more of my thoughts on Madonna's possible $100,000 worth of plastic surgery, check out last week's issue of In Touch Weekly.

Photo credit: IDontLikeYouInThatWay.com

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Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Madonna - Plastic?

What looks unnatural about this recent photo of Madonna? Here's my take:
1. Her forehead, glabella (between the eyebrows), and eyes look virtually wrinkle-free. This is very unusual in a woman her age. My guess is that her plastic surgeon does a nice Botox job.
2. Her cheeks are very soft and full for someone with such low body fat. This can be a possible result of Fat Grafting or Sculptra Injections. My comments on her recent "bruise" photos can be seen in last week's In Touch Weekly.
3. She has a very nice jawline for someone her age. Has she had a possible well-done facelift?

Overall, I think she looks fantastic. What material is the Material Girl made of? Maybe Plastic?

Photo credit: dlisted.com

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Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Madonna's Black Eyes - Plastic Surgery?

Madonna was recently photographed with two black eyes, as shown on this photo. The current In Touch Weekly magazine has my comments on it, but I will also offer them here.

The most common cause of black eyes like this is trauma. Most people who are assaulted can get one black eye, but when the base of the skull is broken (such as in a bad car crash) then both eyes can often become black. Now, I seriously doubt she's been in a car crash or physically assaulted, so the next most likely culprit is surgery.
Lower blepharoplasty surgery is the most common cause of bruising under both eyes, as seen in this photo. While I saw this quite commonly with the traditional technique, the newer transconjunctival blepharoplasty (hidden scar) often doesn't create bruising.
Other common causes of bruising like this include rhinoplasty, facial fat grafting, and Restylane, Juvederm, or Sculptra injections under the eyes. Take your pick. I guess we'll see how she looks in the near future.

Photo credit: x17online.com and In Touch Weekly.

Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Madonna - Breast Implants?

The latest issue of In Touch Weekly has an article which examines whether Madonna may have had a breast augmentation. Click the photo to the right if you'd like to read the article and my comments. Thanks to In Touch Weekly for including me in their story.

To view a video of a breast augmentation I performed on Fox News, click here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.: